When our patients' statements cross a line: What can you do?

Abstract

We have all encountered uncomfortable and difficult interactions within the patient–therapist sphere, whether it's in the context of talking about difficult diagnoses, giving parenting feedback, helping someone gain insight into their role in an interpersonal conflict, engaging with a child or caregiver who doesn't want to be in therapy, building rapport with parents who have high conflict, and countless other scenarios. As mental health professionals, we are trained to hold space for our patients' feelings and beliefs by creating an atmosphere that is non‐judgmental and empathic where one can feel safe to express themselves. We are trained to be self‐reflective and self‐aware of our own biases and beliefs and consider how we may be bringing those into the therapy room. But what should you do when patients' statements cross a line?